Active NPI
Sandra Bruinekool, RPH
- Pharmacist
- West Des Moines, IA
National Provider Identifier
1881976470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18476
- Practice address
- 1999 Grand Ave
West Des Moines, IA 50265-4223 - Phone
- (515) 222-1546
- NPI assigned
- Sep 9, 2011
- Last updated
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18476 | IA | Primary |
Addresses
Primary practice location
1999 Grand Ave
West Des Moines, IA 50265-4223
Mailing address
1999 Grand Ave
West Des Moines, IA 50265-4223
Phone (515) 222-1546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18476 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1881976470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 GRAND AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502654223",
"telephone_number": "515-222-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 GRAND AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502654223",
"telephone_number": "515-222-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUINEKOOL",
"first_name": "SANDRA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.